Sisira Gunawardane MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A33761 Issued in CA

Legal business name

SISIRA GUNAWARDANE MD INC

Practice address

333 N Sunset Ave
West Covina, CA 91790

Phone

(626) 960-5461

Fax

(626) 962-7199

NPI assigned

Dec 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sisira K Gunawardane, MD

Title

President of Corporation

Phone

(626) 960-5461

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Medical Center of West Covina Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hemalatha R Parekh, M.D.

  • Family Medicine Physician
  • West Covina, CA
  • NPI 1053586461
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1922160845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-5461",
            "fax_number": "626-962-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N SUNSET AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-5461",
            "fax_number": "626-962-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISIRA GUNAWARDANE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "GUNAWARDANE",
        "authorized_official_first_name": "SISIRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "626-960-5461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A33761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0095500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Center of West Covina",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deshawn Sinclair
• Bruce David Sindel, MD
• Maninder Singh, DDS
• Prabhpreet Singh, MD
• Sisira Gunawardane MD Inc (Family Medical Center of West Covina)
• Maria Lucila Sison Llanes, M.D.
• Davis Sison
• Graciela Skibar, LVN
• Sky Neak Pharmacy Inc. (Merced Medical Pharmacy)
• Sky Neak Pharmacy Inc. (Merced Medical Pharmacy LTC)

• Family Medicine Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.